Pecan Tree Rehab and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 65 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (14 vs median 8.0)
Bottom 25% in Texas · Below recommended RN staffing · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $21,530 in fines
What this means for your family
This facility is a strong candidate for short-term rehabilitation due to its highly praised therapy department. However, if your loved one has specific medical needs like diabetes or complex wound care, you must closely monitor their dietary intake and dressing changes, as multiple families have reported failures in these critical areas.
Google Reviews
Google Reviews
65 reviews analyzed“Pecan Tree Rehab and Healthcare Center is highly regarded by many for its exceptional therapy department and compassionate nursing staff, particularly for rehabilitation and hospice needs. However, several families have reported serious concerns regarding medical mismanagement, including poor wound care, dietary errors for diabetics, and delays in pain medication. While many praise the social atmosphere and cleanliness, others have noted issues with unpleasant odors and administrative accountability.”
Quality Themes
Tap a score for detailsStrengths
- Top-notch rehabilitation and therapy services
- Compassionate and friendly nursing staff
- Clean and well-maintained building
- Engaging social atmosphere and volunteer programs
Concerns
- Inadequate wound care and medical monitoring (mentioned by 2 reviewers)
- Poor dietary management for diabetic residents (mentioned by 2 reviewers)
- Unpleasant odors (urine) in certain areas (mentioned by 2 reviewers)
- Administrative and billing accountability issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses highly standardized, template-based responses for negative reviews, often cutting off mid-sentence. While they acknowledge the dissatisfaction, they fail to provide specific details or resolutions beyond directing users to a customer care line.
Questions for Your Tour
- 1I've heard wonderful things about your rehabilitation and therapy services; could you tell me more about how the therapy team works with residents to reach their goals?
- 2How does the nursing team approach medication management and monitoring to ensure every resident's specific medical needs are met?
- 3For residents with specific dietary requirements, such as diabetes, how does the kitchen staff coordinate with the clinical team to ensure meal safety?
- 4What steps are being taken to ensure the facility remains fresh and well-maintained, particularly regarding cleanliness and air quality in the resident areas?
- 5How do you ensure that family members are kept informed and included in important updates regarding a resident's care and billing?
- 6What kind of social activities or volunteer programs are available to help residents stay engaged and connected with the community?
Personalized based on this facility's data
Key Review Excerpts
“Their Therapy department is top notch, I’ve seen them work miracles and was one of their patrons.”
“The nursing staff followed up on every question we had, and every concern that was presented. The met with us as often as we requested and would drop everything to ensure that we had what we need”
“They fed my diabetic 3 kinds of potatoes at one meal. Anyone with any kind of knowledge of a diabetic diet should know better.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
2
measures
7
measures
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents with depression symptoms
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaint reports, resulting in 12 complaint-triggered deficiencies including concerns about abuse protection, resident rights, and treatment quality. The facility shows recurring issues with medication management, safety hazards, and infection control across all four surveys from 2022-2025. While all deficiencies have correction dates, the pattern of repeated problems in core care areas suggests ongoing operational challenges that warrant careful consideration during visits.
Feb 18, 2026Routine5
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Oct 18, 2025Complaint7
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nov 13, 2024Routine10
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 13, 2024Complaint4
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Sep 19, 2023Routine22
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Sep 19, 2023Complaint6
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal Penalties
Fine
Oct 18, 2025
$25,530
Ownership & Operations
Who Operates This Facility
Decatur Hospital Authority
for profit
GAINESVILLE II ENTERPRISES, LLC
MARCIA LEE L JACOBI
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 108 of 148 (Worst)
Ownership & Management
Owners
Decatur Hospital Authority
Owner · Organization
Baronet, Rod
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Brashier, Craig
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Moran, Dawn
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Payne, Ronald
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
65 reviews from families & visitors
Official Website
Visit pecantreerehabandhealth.com
Medicare data downloads
Original nursing home datasets
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